Quick look at the deltopectoral approach: The goal is to expose the fracture site & make room for the plate while preserving medially located neurovascular bundle and the axillary nerve under the deltoid muscle.
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A 'figure of 8' suture can effectively manage a bleeding vessel by compressing it with surrounding tissue. For persistent bleeds, a 'figure of 16' can be considered.
#SurgicalTips#MedEd
The lower leg consists of four compartments that are released during a fasciotomy procedure. Here are some insights on how to ensure that all compartments have been successfully accessed.
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Ankle Ex Fix: From pin site selection to completed construct. The goal is to achieve stability and alignment while ensuring preservation of surrounding neurovascular structures.
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In ACL reconstruction, a hamstring graft is acquired with a tendon stripper. It's important to identify and free accessory bands of the tendon to avoid premature tendon cutting leading to an insufficient graft.
#orthopaedics#trauma#ACL#meded#OrthoTwitter#OrthoX
I would *not* recommend laying down a sheet of Ioban before your ER thoracotomies…😉😉😉
Actually, if I’m not mistaken, that’s a sternotomy video. Though places like ours, that have direct-to-OR capability, can in fact do crash sternotomies with the usual power saw. 🪚
Periarterial divestment of the CHA during pancreatoduodenectomy for locally advanced pancreatic cancer in a patient with a replaced CHA from the SMA.
Careful patient selection is key. We wrap a peritoneal patch around the divested artery for protection. Encouragingly, no vascular complications in our first 4 cases of arterial divestment over the past year..
@IHPBA@EAHPBA@AHPBA
The Profunda femoral artery! (deep femoral artery) is the largest branch of the femoral artery, arising 3–4 cm below the inguinal ligament from the posterolateral aspect of the common femoral artery 🔪👁️💥⤵️! @pferrada1@SWexner@TomVargheseJr@AmCollSurgeons@CiruAndes2